[Meditation]
DONÁTH Tibor
JULY 14, 2007
Lege Artis Medicinae - 2007;17(06-07)
DONÁTH Tibor
JULY 14, 2007
Lege Artis Medicinae - 2007;17(06-07)
Lege Artis Medicinae
Lege Artis Medicinae
[The beneficial effects of treatment with betablockers in patients with chronic heart failure have been demonstrated in several large, prospective, randomised, placebo-controlled clinical trials. In large trials with mortality as the endpoint, the long-term use of bisoprolol, carvedilol, nevibolol and metoprolol succinate have been associated with a reduction in total mortality, cardiovascular mortality, sudden cardiac death and death due to progression of heart failure in patients of functional classes II-IV. These favorable clinical experiences warrant a recommendation that beta-blockers should be used in all haemodynamically stable heart failure patients with reduced left ventricular systolic function who are on standard treatment, unless contraindicated. In this review, the most important data of clinical trials and practical considerations of therapy with beta-blockers in heart failure are summarized.]
Lege Artis Medicinae
[For the optimal treatment of heart failure patients with systolic dysfunction, supplementation of the standard diuretics plus neurohormonal antagonists treatment with the direct vasodilator combination dihydralazine+nitrate, as well as with digitalis may be necessary. Addition of hydralazine/dihydralazine+nitrate to the treatment of chronic heart failure is recommended if ACE-inhibitors or angiotensin-receptor blockers cannot be administered. Beta blockers should also be used in these cases. If symptoms persist or worsen, addition of this combination to the standard therapy is reasonable. Supplementation with digitalis, mostly digoxin should be considered in similar conditions. It can be especially beneficial for patients with high-ventricular-rate atrial fibrillation. To achieve maximal survival benefit, the dose of digoxin must not exceed 0.125 mg/day. Low body weight or muscle mass, significantly reduced renal function may make further dose reduction necessary. If renal function is severely limited, digitoxin instead of digoxin may be used.]
Lege Artis Medicinae
Lege Artis Medicinae
[Acute heart failure may develop in previously healthy hearts. Nevertheless, structural abnormalities can facilitate its development and also, chronic heart failure can progress into acute stage. Considering the total cost of care in the patient's life, this is the most expensive heart disease. The clinical signs and physical abnormalities are usually of diagnostic power, however, instrumental investigations are necessary to recognize complications and to guide therapy. Patients should be monitored in well equipped coronary care units. Therapy consists of medications, coronary revascularization and use of mechanical assist devices.]
Lege Artis Medicinae
Lege Artis Medicinae
Journal of Nursing Theory and Practice
[Aim of the research: Investigating nurse students’ attitude towards complementary and alternative medicine and their knowledge of and experience with it. Research and sampling methods: 171 Hungarian nurse (57 full time and 114 part time) students participated in our cross-sectional study using a self-administered questionnaire. Results: Nurse students’ attitude towards alternative medicine is positive. The most known alternative methods were massage, herbal medicine, acupuncture, homeopathy, relaxation and meditation. The most used practices were massage, herbal medicine and homeopathy and found them efficient. Full time students used the Internet and part time students used education as information sources. Most students agreed that the integration of alternative methods into health care would be effective, and it should be taught in higher education. Conclusions: Nursing student would get reliable knowledge by integrating alternative medicine into higher education system and it takes their work more effective. ]
Lege Artis Medicinae
Lege Artis Medicinae
1.
2.
Clinical Neuroscience
Alexithymia is associated with cognitive impairment in patients with Parkinson’s disease3.
4.
5.
1.
Clinical Neuroscience
Electrophysiological investigation for autonomic dysfunction in patients with myasthenia gravis: A prospective study2.
Clinical Neuroscience
Evaluation of the effectiveness of transforaminal epidural steroid injection in far lateral lumbar disc herniations3.
Clinical Neuroscience
[The role of anaerobic bacteria in brain abscesses: a literature review]4.
5.
Journal of Nursing Theory and Practice
[Examination of the Strength of Core- and Perineal Muscles in Case of Different Movements]
COMMENTS
0 comments